• Hierarchical Condition

    Highmark Health (Annapolis, MD)
    …(MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category ( HCC ) Coding, medical coding, clinical ... requirements by analyzing physician documentation and interpreting into ICD10 diagnoses and HCC disease categories. Supports other key objectives to drive capture of… more
    Highmark Health (06/28/24)
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  • Vice President, Quality, STARS & Risk Adj (Hybrid)

    CareFirst (Baltimore, MD)
    …and the performance of internal resources devoted to the Hierarchical Condition Category /Risk Adjustment Factor ( HCC /RAF) efforts. Collaborates with ... Contracting and Provider Networks teams to drive innovative initiatives that address low performing measures. Oversees outreach strategy and informs the workflows, policies, and procedures that govern engagement with patients that are due or overdue for annual… more
    CareFirst (07/23/24)
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  • Medical Investigations Analyst I

    Elevance Health (Hanover, MD)
    …collection of medical records that have missing ICD-10 chart information that potentially hold HCC ( Hierarchical Condition Category ) value. **How You ... equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range… more
    Elevance Health (07/27/24)
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  • RN Specialist-Clinical Documentation

    Ascension Health (Baltimore, MD)
    …year of either CDI, Quality, or Care Management and Coding experience. **Conversant with HCC ( Hierarchical Condition Category ) coding and CDI ... experience** Maryland or compact State RN license required **Benefits** Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans Long-term & short-term disability Employee assistance programs… more
    Ascension Health (07/10/24)
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